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Cervical Encerclage Treatment in Bangalore

October 9, 2019 by AltiusHospital  

What is cervical cerclage?


Cervical cerclage, also known as a cervical stitch, is a treatment for cervical incompetence or insufficiency, when the cervix starts to shorten and open too early during a pregnancy causing either a late miscarriage or preterm birth.




When is it done?


Usually the treatment is done in the second trimester (12-14 weeks) of pregnancy, for a woman who had either one or more late miscarriages in the past. It can be planned prior to pregnancy when it is done abdominally and laparoscopically.


Who needs a cervical circlage?


A doctor might recommend a cerclage be performed if a woman has one or more of the following risk factors:

  • a previous preterm delivery
  • previous trauma or surgery to the cervix
  • H/O early rupture of membranes ("breaking water")
  • hormonal influences
  • abnormalities of the uterus or cervix


In women with a prior spontaneous preterm birth and who are pregnant with one baby, and have shortening of the cervical length less than 25 mm, a cerclage prevents a preterm birth and reduces death and illness in the baby.


What are various methods of it?


Types: There are three types of cerclage


Mc Donald’s circlage is essentially a pursestring stitch used to cinch the cervix shut; the cervix stitching involves a band of suture at the upper part of the cervix while the lower part has already started to efface. This cerclage is usually placed between 16 weeks and 18 weeks of pregnancy. The stitch is generally removed around the 37th week of gestation


A Shirodkar cerclage is very similar, but the sutures pass through the walls of the cervix so they're not exposed. The Shirodkar procedure sometimes involves a permanent stitch around the cervix which will not be removed and therefore a Caesarean section will be necessary to delivera an abdominal cerclage, the least common type, is permanent and involves placing a band at the very top and outside of the cervix, inside the abdomen. This is usually only done if the cervix is too short to attempt a standard cerclage, or if a vaginal cerclage has failed or is not possible. A c-section is required for women giving birth with a TAC. A transabdominal cerclage can also be placed pre-pregnancy if a patient has been diagnosed with an incompetent cervix.


What are the preparations made before cerclage?


Before the procedure may be performed, there are a number of preparatory steps that must be taken. A complete medical history will be taken. A cervical exam will be necessary to assess the state of the cervix; usually a transvaginal (through the vagina) ultrasound will be performed. No food or drink will be allowed after midnight before the day of surgery to avoid nausea and vomiting during and after the procedure. The patient will also be instructed to avoid sexual intercourse, tampons, and douches for 24 hours before the procedure. Before the procedure is performed, an intravenous (IV) catheter will be placed in order to administrate fluids and medications.


Lap circlage- how is it done?


The procedure is performed under anesthesia through a laparoscopic ports. The peritoneum overlying the bladder and uterus is divided, and the bladder is pushed caudally. The uterine vessels are identified and displaced laterally, and a suture is then placed around the cervix at the levelof the internal os. The suture is tied posteriorly; this is to allow removal of the suture by posterior colpotomy if necessary. Some surgeons tie the suture anteriorly. The uterine vessels have to be dissected from the cervix to allow insertion of the suture medially. The technique is more demanding than that by the vaginal approach, and might lead to excessive bleeding from the uterine vessels. Transillumination of the uterine vessels and their branches with a laparoscope, and placing the suture through the avascular area of the paracervical tissue medial to the vessels, have been proposed. Most cases of abdominal cerclage have been performed during pregnancy, usually after 10 weeks of gestation. Abdominal cerclage by laparotomy and by laparoscopy have been performed in the pregnant and non-pregnant states. Compaired to open method Lap has faster recovery.


What is aftercare for circlage?





  • Take your medicine as directed: 
  • Antibiotics: This medicine is given to fight or prevent an infection caused by bacteria. Always take your antibiotics exactly as ordered by your primary healthcare provider. Do not stop taking your medicine unless directed by your primary healthcare provider.
    Pain medicine: You may need medicine to decrease pain. 
  • Constipation: Do not try to push the bowel movement out if it is too hard. High-fiber foods, extra liquids, and regular exercise can help you prevent constipation. Examples of high-fiber foods are fruit and bran. Regular exercise helps your digestive system work. You may also be told to take over-the-counter fiber and stool softener medicines. Take these items as directed. 
  • Rest: You may need to rest in bed while lying on your left side most of the time. Avoid heavy work to prevent premature labor or delivery. 
  • Vaginal or wound care: When you are allowed to bathe or shower, carefully wash without wetting abdominal cuts. Afterwards, put on clean sanitary pad. Change your bandages or pad any time it gets wet or dirty. Avoid placing anything inside your vagina, such as a douche or tampon. Ask your caregivers for more information about vaginal and wound care.



  • You have a fever.
  • You have chills, a cough, or feel weak and achy.
  • You have nausea (upset stomach) or vomiting (throwing up).
  • Your bandage becomes soaked with blood.
  • Your skin is itchy, swollen, or has a rash.
  • You have questions or concerns about your surgery, condition, or care.



  • You feel something is bulging out into your vagina.
  • You have clear fluid coming from your vagina.
  • You have lower abdominal or back pain that comes and goes like labour pains.
  • You have pus or a foul-smelling odour coming from your vagina.
  • You have regular contractions.
  • You have trouble passing urine.
  • You have vaginal bleeding.


What are the results of circlage?


The success rate for cervical cerclage is approximately 80-90% for elective cerclages, and 40-60% for emergency cerclages. A cerclage is considered successful if labor and delivery is delayed to at least 37 weeks.


What is Rescue cerclage?


In cases with advanced cervical dilatation and bulging membranes, it has been referred to as (heroic cerclage) or rescue cerclage due to its poor success rate Cervical cerclage in advanced cervical dilatation with bulging membranes in the second trimester is controversial. The outcome of these pregnancies is usually poor, but without a cerclage the loss of pregnancy is inevitable. The outcome can be improved if initially a uterine contraction suppressant is used and vaginal infection can be treated. These patients need a lot of counseling and be made aware of the risk of losing the pregnancy. Prolonging pregnancy to reach just viable gestations may also increase overall morbidity. It has been suggested that infection is likely to play a part in many cases of miscarriage in the second trimester and therefore screening for infection before insertion of the suture may predict prognosis. However, in women with bulging membranes, delay in the insertion of the suture is likely to increase the risk of infection, due to the increased exposure of the fetal membranes to vaginal bacteria Reported survival rates following emergency cerclage vary from 12.5% to 63% in women with cervical dilatation of >3cm.


For More data Contact Us:


Telephone: +91 8023151873 | +91 9900031842


Fax: +91 8023116750


Email: altiushospital@yahoo.com | endoram2006@yahoo.in


Follow the links:


Gynecologist in Bangalore | IVF Treatment Center in Bangalore | Endometriosis Treatment in Bangalore | Scarless Surgery in Bangalore | Urogynaecology Treatments in Bangalore

Vaginoplasty in Bangalore

September 25, 2019 by AltiusHospital  

Altius Hospital is one of the India’s best leading centres with Gynaec Laparoscopic surgery, Infertility & Urogynaecology treatments. It is a 50 Bedded Hospital with High Tech State of the art speciality centre. Our Hospital is renowned as the Third Operation Theatre in the country and to have OR1 system first in Karnataka.


Vaginal Discharge






Vaginal discharge is most often a normal and regular occurrence. However, there are certain types of discharge that can indicate an infection. Abnormal discharge may be yellow or green, chunky in consistency, or have a foul odor.


Vaginal discharge serves an important housekeeping function in the female reproductive system. Fluid made by glands inside the vagina and cervix carries away dead cells and bacteria. This keeps the vagina clean and helps prevent infection.


What is Normal?




Women develop PID when certain bacteria, such as chlamydia or gonorrhea, move upward from a woman's vagina or cervix into her reproductive organs. PID is a serious complication of some sexually transmitted diseases (STDs), especially chlamydia and gonorrhea.


Most of the time, vaginal discharge is perfectly normal. The amount can vary, as can odor and hue (its color can range from clear to a milky whitish), depending on the time in your menstrual cycle.


For example, there will be more discharge if you are ovulating, breastfeeding, or are sexually aroused. The smell may be different if you are pregnant or you haven't been diligent about your personal hygiene.


When is It Abnormal




if the color, smell, or consistency seems significantly unusual, especially if it accompanied by vaginal itching or burning, you could be noticing an infection or other condition.


What should I do if I have abnormal vaginal discharge?




Vaginal discharge is perfectly normal but if your discharge looks unusual and you experience other symptoms such as itching and swelling of the vagina, fever, fatigue, pain in the abdomen, unexplained weight loss, or increased urination, you should consult your doctor.


What does a lot of vaginal discharge mean?


  • In the majority of cases, excessive vaginal discharge is merely the body's reaction to certain physiological changes.
  • The amount of discharge varies during your menstrual cycle.
  • It's normal for vaginal discharge to increase with ovulation, breastfeeding, exercise, sexual arousal, the use birth control pills and emotional stress.
  • A lot of discharge is often observed in early pregnancy. Although in most cases excessive discharge is normal, sometimes it can indicate serious problems such as a vaginal infection or a cervical or vaginal tumor.



Some of the surgeries performed here are:


  1. Vaginal hysterectomy for non-descent upto 24 weeks size
  2. Vaginal hysterectomy for uterine prolapse, cystocele, enterocele, rectocele
  3. Vaginal repair of vault prolapse
  4. Vaginal sacrospinous colpopexy
  5. Fistula repairs
  7. Vaginal surgery for stress urinary incontinence (leaking of urine during coughing,    sneezing, etc) using, tapes -TVT, TOT, TVT-O, MINISLING, OPHIRA etc
  8. Vaginoplasty
  9. Hymenectomy
  10. Sex reversal surgery


For More data Contact Us:


Telephone: +91 8023151873 | +91 9900031842


Fax: +91 8023116750


Email: altiushospital@yahoo.com | endoram2006@yahoo.in


Follow the links:


Gynecologist in Bangalore | IVF Treatment Center in Bangalore | Endometriosis Treatment in Bangalore | Scarless Surgery in Bangalore | Urogynaecology Treatments in Bangalore

Laproscopic Ovarian Drilling Treatment in Bangalore

September 23, 2019 by AltiusHospital  

If you have been diagnosed with polycystic ovary syndrome (PCOS),you are probably no stranger to fertility problems. You may have tried to lose weight or take different fertility drugs to help you conceive. But if these PCOS fertility treatments did not work for you, you may wonder if there is another option. Ovarian drilling could be your answer.


Ovarian drilling for PCOS treatment:




Polycystic ovary syndrome can cause your body to produce too much testosterone and insulin, leading to fertility problems. High testosterone levels can cause irregular menstrual cycles, prevent ovulation and hinder pregnancy. PCOS treatments, including ovarian drilling, could help you conceive by regulating your hormone levels and improving your ovulation and menstrual cycles. Laproscopic ovarian drilling may also increase ovarian blood flow, allowing a high delivery of gonadotrophins and post-surgical local growth factors. There is also an improvement of insulin sensitivity after ovarian drilling which helps in ovulation.


Laparoscopic ovarian drilling may improve the effectiveness of other ovulation induction treatments. The oral drug, clomiphene citrate , is the first-line treatment for PCOS, yet, one fifth of women are resistant to the drug and fail to ovulate. In such cases, laproscopic ovarian dirlling may prove to be an effective alternative.


How does ovarian drilling work?


It may sound scary, but “ovarian drilling” is relatively simple and minimally invasive. Ovarian drilling is a laparoscopic procedure performed under general anesthesia. The surgery is typically done on an outpatient basis with minimal recovery time. Here is how ovarian drilling works:

  1. Your surgeon makes a small incision below your belly button. Because the incisions are so small, laparoscopy is often called "Band-Aid surgery."
  2. He or she inserts a tube into your abdomen, filling itwith carbon dioxide. This inflates your abdomen and prevents damage to your internal organs.
  3. A thin telescope with a camera attached is inserted into your abdomen, allowing your surgeon to view your internal organs and ovaries. Guided by the camera, the surgeon inserts special tools and uses an electric current to make very small holes on your ovaries. The common technique of ovarian drilling is the use of monopolar electrocautery (diathermy) or laser with comparable results. Normally, three to eight diathermy punctures are performed in each ovary using 40 watts energy for each puncture.


Will ovarian drilling work for me?


If your periods become regular after ovarian drilling, your chances of pregnancy are good. About half of all women that go through with ovarian drilling become pregnant within one year. Even if your cycles do not become more regular after ovarian drilling, you may have better success in getting pregnant with the help of fertility drugs.


Advantages of Laproscopic




Ovarian Drilling:


Ovarian drilling has lower rates of ovarian hyperstimulation syndrome and of multi-fetal gestation. The advantages of the procedure also include its singular treatment, as opposed to several trials of ovulation inductions. Other benefits of this technique include cost-effectiveness and that it can be performed as an outpatient procedure.


Talk with your doctor to determine if you are a good candidate for ovarian drilling. By regulating your cycles for several months or more, ovarian drilling may offer you a window of opportunity to become pregnant that you did not have before.


For More data Contact Us:


Telephone: +91 8023151873 | +91 9900031842


Fax: +91 8023116750


Email: altiushospital@yahoo.com | endoram2006@yahoo.in


Follow the links:


Gynecologist in Bangalore | IVF Treatment Center in Bangalore | Endometriosis Treatment in Bangalore | Scarless Surgery in Bangalore | Urogynaecology Treatments in Bangalore

Surrogacy Treatment in Bangalore

September 20, 2019 by AltiusHospital  

What is Surrogacy?


According to artificial Reproductive Technique guidelines, Surrogacy is an arrangement in which a woman agrees to a pregnancy, achieved through assisted reproductive technology in which neither of the gametes belong to her or her husband with the intention of carrying it to term and handling over the child to the person or persons for whom she is acting as surrogate and surrogate mother is a woman who agrees to have an embryo generated from the sperm of a man who is not her husband and the oocyte of another woman implanted in her to carry the pregnancy to full term and deliver the child to its biological parents.


Who can be a Surrogate Mother?


Has given birth to and be raising that child This is the number one requirement to become a surrogate mother with Surrogate Alternatives as well as all IVF clinics. The reason is that once a woman gives birth, it shows she is able to become pregnant and establishes fertility. The IVF clinic will also require OB records from the surrogate, so the IVF physician can review them to make sure the surrogate had an uneventful and uncomplicated pregnancy. The reason Surrogate Alternatives likes to know you are raising your child, is that it shows stability as not only a mother and but also in life.




Has a Healthy Lifestyle


This is very important to all parties involved. Our surrogate mothers must live a healthy lifestyle to be given the trust to take care of someone else’s child. Intended parents basically want to make sure their surrogate mother is taking care of the pregnancy like they would if it was their own child they were carrying. We all know as mothers, that it’s important to eat healthy and exercise while we are pregnant to avoid possible complications. This also ensures that the baby has a great start to life.


Be Financially Stable


It’s very important to Surrogate Alternatives that our surrogate mothers are financially stable and not collecting government assistance. The reason that this matter’s to us it that we have to make sure they are becoming a surrogate mother for the right reasons and just not solely on the funds they will receive. Women who sign up to become surrogates understand that it takes sacrifice and time to be a surrogate mother. It’s also a great thing to receive the extra funds for your future, whether used to go back to school or save for a down payment on a first home.


Responsible Lifestyle


Surrogate Alternatives feels that the two above requirements fit into this category. We feel a surrogate mother must live a stable lifestyle in order to qualify to become a surrogate mother. This means no drugs of any kind, whether it is street or prescription pills without your OB’s consent. The child is the most important part of the surrogacy process and ensuring the babies health and wellbeing is expected.


Be a Non-Smoker


This is a very important requirement when you sign up to become a surrogate mother. Smoking during pregnancy can cause a stillbirth, premature delivery, and low birth weight. It will also cut the oxygen off to the baby by narrowing blood vessels throughout your body, including the ones in the umbilical cord. So you see why we do not accept smokers into our program.


BMI under 32


IVF clinics have become very strict in regards to the body mass index (BMI) a surrogate mother must be, in order to become a surrogate mother. The reason for this is, if you are over the normal BMI you are at a greater risk of developing diabetes, which can be a risk not only to you but also, to the pregnancy.


No history of mental illness


To be a surrogate mother you have to be able to schedule appointments, remember to attend them and take the proper medication when the time comes. You have to also be able to read and understand the legal contract you will be entering into with the couple you help. Being a surrogate mother requires you to relinquish your rights to the baby once you deliver, as you are only the carrier and not the biological or legal parent. We have to be sure you are stable enough to be able to do that.


Your age is between 21-38


During our 15 years of experience in operating a surrogacy and egg donation agency, we feel that our surrogates need to be at least 21 years of age to be a surrogate; this is also an IVF clinic requirement. We accept surrogate mothers up to the age of 38, since of course it’s the egg donors or intended mothers who provide their eggs, and not the surrogate mother.


The surrogate must agree to psychological & drug screenings


This is one of the standard requirements of our program and the IVF clinic. The IVF clinic not only requires it, but it is important as you are carrying someone else’s child and must make sure you are healthy. The intended parents must put their trust in you, a complete stranger and this only helps them through this emotional process.


IUD’s will have to be removed


If you have an IUD for birth control, you will have to schedule an appointment with your OB or primary care doctor to have it removed. You cannot proceed with an IVF cycle if you have an IUD, as the IVF doctor will need to look at your uterus to make sure there is no scarring or fibroids and he cannot do this with an IUD in place. You cannot have an IUD in you while attempting an embryo transfer.


Tubal ligation is OK


It’s ok if you have had your tubes tied. As a surrogate mother, your eggs will not be used, only your uterus as the carrier.


For More data Contact Us:


Telephone: +91 8023151873 | +91 9900031842


Fax: +91 8023116750


Email: altiushospital@yahoo.com | endoram2006@yahoo.in


Follow the links:


Gynecologist in Bangalore | IVF Treatment Center in Bangalore | Endometriosis Treatment in Bangalore | Scarless Surgery in Bangalore | Urogynaecology Treatments in Bangalore

3D Laparoscopic Surgery in Bangalore

September 19, 2019 by AltiusHospital  

Altius Hospital is one of the India’s best leading centres with Gynaec Laparoscopic surgery, Infertility & Urogynaecology treatments. It is a 50 Bedded Hospital with High Tech State of the art speciality centre. Our Hospital is renowned as the Third Operation Theatre in the country and to have OR1 system first in Karnataka.


All the equipments and monitors are suspended from the ceiling by pendent and cables, Gas connections to the equipments run through the pendent. The advantage of pendent system is saving floor space and concealing all the cables and connections. Pendent with the equipments can be moved to 360 deg throughout in operation room. With OR1’s help, the entire control of Medical Devices, Lighting, Room, Cameras and Tele-conferencing from a Central Station inside or outside with the sterile area communication BUS system (SCB) functions can be monitored continuously & smoothly.





  • We are committed to the achievement and maintenance of excellence in education, research and healthcare for the benefit of humanity.
  • To enhance lives and preserve health by enabling access to a comprehensive, fully integrated network of the highest quality and most affordable care, delivered with kindness, integrity and respect.
  • Facilitate communities to access quality skilled Women Health Care.




Our vision reflects our desire to provide leading practice health care in a modern, well-equiped facility and ultramodern treatment at affordable cost.


Our Values


Quality: Altius Hospital is committed to the continuous evaluation and improvement of all processes related to delivering comprehensive medical treatment and superior patient care.


Integrity: Altius Hospital will ensure that Transparency among systems and physician practices will be maintained at all times.

: Altius Hospital will strive to foster teamwork, innovation, personal responsibility and trust in every aspect.


Dignity: Altius Hospital will always uphold patient dignity, safety and respect.


What is OR1?


Operation Room1 (OR1)


OR1 is the latest system for High Tech State of Art Laproscopic surgeries.


Features of Our OR1

  • World class operation theatre
  • Stainless Steel cladding of the wall and roof for maitaining absolute sterile atmosphere
  • Fibre Cart Flooring


Celing Panel (pendent System)


All the equipments and monitors are suspended from the ceiling by pendent and cables. Gas connections to the equipments run through the pendent. The advantage of pendent system is to save floor space and is concealed with the cables and connections. The Pendent equipments can be moved 360 deg (throughout the operation theatre. With OR1, it is now possible to control everything from Medical Devices, Lighting, Room, Cameras and tele-conferencing from a Central Station inside or outside from the sterile area with communication BUS system (SCB) and all the function can be monitored continuously/thoroughly.


Flat Screen Technology


For Non-Flickering clear image quality and effortless ergonomically optimized positioning.


Touch Screen Control


Control of all peripheral devices and cameras from only one monitor.


OT Table


Remote controlled C-Arm compatible OT Table with sliding movements and all the tilts.


Telemedicine and Teleconferencing


Facilities for Telemedicine and Simultaneous Audio-Video conferencing with the patient relatives and referral doctor.It is the first center in South India to install 3D laparoscopic camera system. The 3 D laparoscopy system at our center is from Karl Storz, Germany (FIRST ONE IN INDIA).


Why 3D laparoscopy system?


Benefits to patients

  • SafetyLess complications
  • Cost effectiveness
  • One day hospital stay
  • Less time for surgery


Benefits to surgeons

  • Depth perception
  • Precision
  • Accuracy
  • High resolution
  • Incredible 3D image thus reducing surgical & anaesthesia time


Technical information


The KARL STORZ 3D system increases the benefits of 3 dimensional imaging in endoscopy, where surgeons previously had to learn to work in the 2D world. 3D provides potential for increased surgical accuracy while suturing and cutting, and more importantly, identifying and locating vital anatomical structures. These benefits could also mean improvement in safety, precision, and speed of procedures, decrease the learning curve, and provide a valuable teaching/learning tool.


For More data Contact Us:


Telephone: +91 8023151873 | +91 9900031842


Fax: +91 8023116750


Email: altiushospital@yahoo.com | endoram2006@yahoo.in


Follow the links:


Gynecologist in Bangalore | IVF Treatment Center in Bangalore | Endometriosis Treatment in Bangalore | Scarless Surgery in Bangalore | Urogynaecology Treatments in Bangalore

Diagnostic Laparoscopy

September 17, 2019 by AltiusHospital  





Diagnostic laparoscopy is a procedure that allows a doctor to look directly at the contents of the abdomen or pelvis. Now a days it has become a safe minimal invasive surgery in diagnosing the pathology.


How the Test is Performed


The procedure is done in the hospital or outpatient surgical center under general anesthesia (while you are asleep and pain-free).


The procedure is performed in the following way:

  • The surgeon makes a small cut (5 mm incision) below the belly button.
  • A needle or tube is inserted into the incision. Carbon dioxide gas is passed into the abdomen through the needle or tube. The gas helps in expanding the area, giving the surgeon more room to work, and helps the surgeon to see the organs more clearly.
  • A tube is placed through the cut in your abdomen. A tiny video camera (laparoscope) goes through this tube and is used to see the inside of your pelvis and abdomen with magnification over the screen. More small cuts may be made if other instruments are needed to get a better view of certain organs.
  • In female infertility cases,tubal patency is tested by injecting dye through cervix from below so the surgeon can view the flow of dye through the fallopian tubes abdominally .
  • After the exam, the gas, laparoscope, and instruments are removed, and the cuts are closed. You will have bandages over those areas.


How to Prepare for the Test


It is a day care procedure where patient is asked to come in the morning with over night fasting. Follow instructions of not eating and drinking before surgery. Do not change or stop taking any medicines without advise from the doctor.


How the Test will Feel

  • You will feel no pain during the procedure. Afterward, the incisions may be sore. Your doctor may prescribe a pain reliever.
  • You may also have shoulder pain for a few days. The gas used during the procedure can irritate the diaphragm, which shares some of the same nerves as the shoulder.
  • You will recover for a few hours at the hospital before going home. You will probably not stay overnight after a diagnostic laparoscopy.


Why the Test is performed


Diagnostic laparoscopy is often done for evaluating female infertility,tubo ovarian pathology,endometriosis,chronic pelvic pain, suspected, adnexal masses,uterine anomalies, PID, suspected ovarian malignancies etc


Normal Results


The laparoscopy is normal if there is no blood in the abdomen, no adhesions, no hernias, no intestinal obstruction, and no cancer in any visible organs. The uterus, fallopian tubes, and ovaries are of normal size, shape, and color.


What Abnormal Results Mean


Abnormal results may be due to a number of different conditions, including:

  1. Scar tissue inside the abdomen or pelvis (adhesions).
  2. Cells from inside the uterus grow in other areas (endometriosis, chocolate cyst of ovary).
  3. Ovarian cysts or cancer of the ovary.
  4. Infection of the womb, ovaries or fallopian tubes (pelvic inflammatory disease, hydrosalpingx and pyosalpingx).
  5. Uterine fibroids.
  6. Appendicular problems etc.
  7. Tubal block.



As like any other surgeries this procedure too has got the risk of wound infection, perforation of viscera, internal bleeding. However complications for a diagnostic laparoscopy are extremely rare.


For More data Contact Us:


Telephone: +91 8023151873 | +91 9900031842


Fax: +91 8023116750


Email: altiushospital@yahoo.com | endoram2006@yahoo.in


Follow the links:


Gynecologist in Bangalore | IVF Treatment Center in Bangalore | Endometriosis Treatment in Bangalore | Scarless Surgery in Bangalore | Urogynaecology Treatments in Bangalore

Intra-Cytoplasmic Sperm Injection

September 6, 2019 by AltiusHospital  

What is intra-cytoplasmic sperm injection and how does it work ?


Used with IVF and eggs of good quality, ICSI often is a successful treatment for men with impaired or no sperm. IVF ICSI has revolutionized the treatment of male infertility allowing fertilization to occur even if only a few sperms are available. First developed by reproductive medical specialists in Belgium, ICSI is a specialized form of micro-insemination to help couples overcome male infertility problems. ICSI has become so successful that most treatments previously used for male infertility have been abandoned in its favour.



ICSI is often recommended if:

  • The male partner has a very low sperm count.
  • Other problems with the sperm have been identified, such as poor morphology (abnormally shaped) and/or poor motility (poor swimmers).
  • At previous attempts at in vitro fertilization (IVF) there was either failure of fertilization or an unexpectedly low fertilization rate.
  • The male partner has had a vasectomy and sperms have been collected from the testicles or epididymis (sperm reservoir).
  • Other situations where the sperm count is zero and donor insemination is not wanted.
  • The male partner does not ejaculate any sperm but sperm have been collected from the testicles.
  • The male partner has had problems obtaining an erection and ejaculating. This includes men with spinal cord injuries, diabetes and other disorders.


How does ICSI work?

  1. The procedure for ICSI is similar to that for IVF(see IVF patient information leaflet), but instead of fertilization taking place in a dish, the embryologist selects sperm from the sample and a single sperm is injected directly into each egg. After two to three days in the laboratory, those that are fertilized are transferred to your womb in the same way as for conventional IVF.
  2. The major development of ICSI means that as long as some sperm can be obtained (even in very low numbers), fertilization is possible.
  3. This procedure requires highly developed skills. Because only one sperm is needed per egg, even very small number of sperms can work. This becomes especially important in males with azoospermia (the complete lack of sperm present in the ejaculate). In such cases, we can offer a procedure called testicular sperm extraction (TESE), where our doctor extracts a small piece of testicular tissue that may contain sperm cells that can be used for ICSI. In a very high percentage of cases, azoospermic males can achieve fatherhood.


Difference between IVF and ICSI ?


During routine IVF, eggs and sperm are combined and incubated together in order to achieve fertilization. ICSI is performed by the embryologist, who surgically inserts one sperm into each egg. This is done by perforating the membrane of the egg with a glass pipette, which contains the sperm.


Success rates for ICSI:

  1. Fertilization rates for ICSI: Most IVF programs see that about 70-85% of eggs injected using ICSI become fertilized. We call this the fertilization rate, which is different from the pregnancy success rate.
  2. Pregnancy success rates for in vitro fertilization procedures with ICSI have been shown in some studies to be higher than for IVF without ICSI. This is because in many of the cases needing ICSI the female is relatively young and fertile (good egg quantity and quality) as compared to some of the women having IVF for other reasons.


What are the advantages of ICSI?

  • ICSI may give you and your partner a chance of conceiving your genetic child when other fertility treatments options are unlikely to do so.
  • If your partner is unable to ejaculate on the day of egg collection for standard IVF, sperm can instead be extracted for ICSI.
  • ICSI can also be used to help some couples with unexplained infertility. In this case however, your doctor is likely to initially recommend standard IVF, as ICSI and IVF pregnancy rates are very similar and IVF is a less complex treatment.
  • ICSI doesn't appear to have any effect on your child’s mental or physical development.


For More data Contact Us:


Telephone: +91 8023151873 | +91 9900031842


Fax: +91 8023116750


Email: altiushospital@yahoo.com | endoram2006@yahoo.in


Follow the links:


Gynecologist in Bangalore | IVF Treatment Center in Bangalore | Endometriosis Treatment in Bangalore | Scarless Surgery in Bangalore | Urogynaecology Treatments in Bangalore

Tubal Pregnancy Treatment in Bangalore

September 4, 2019 by AltiusHospital  

What is Tubal pregnancy?





Tubal pregnancy also called ectopic pregnancy is a complication of pregnancy in which embryo attaches outside the uterus in the fallopian tube.


How is it diagnosed?


Signs and symptoms of tubal pregnancy include abdominal pain, vaginal bleeding, absence of menses. Detection of tubal pregnancy is typically by blood tests for Human Chorionic Gonadotropin(Beta- hCG) and ultrasound. This may require testing more than one occasion. Trans vaginal USG is best to get the clue of tubal pregnancy.


Does it need admission?


Tubal pregnancy can show spectra of presentations depending on which patient needs admission. Patient with ruptured ectopic pregnancy can present with abdominal distention, tenderness, peritonitis and hypovolemic shock & will need immediate admission and surgery to stop the bleeding. Patient who is stable, with unruptured ectopic pregnancy can be monitored and if tubal gestational size < 3.5 cm with absent foetal heart beat, with serum beta hcg < 5000 IU/L , with normal Liver function tests can be treated with injectable methotrexate under supervision on an outpatient basis.


Can it be treated with medicines?


Yes early treatment of ectopic pregnancy in haemodynamically stable patient is a viable alternative to surgical treatment. If tubal pregnancy gestational sac is unruptured, < 3.5 cm in size without heart beat, I/M Methotrexate can be given , dose adjusted according to body surface area of patient under supervision. Beta hCG is serially monitored for its fall for successful treatment of tubal pregnancy. Patient should be compliant for regular follow ups average upto 35 days.


What is surgery for Tubal pregnancy?




If the tube is ruptured or mass> 3.5 cm, then that tube is removed- called Salpingectomy. If the mass is unruptured, then the affected tube is incised and pregnancy only is removed . This procedure is called salpingostomy. The tube is left open without suturing and heals by itself by secondary intent. It can be done laparoscopically.


What are the chances of pregnancy after removing the tube?


Though statis tically removing one fallopian tube reduces chances of conceiving by 50 %, if the woman’s other fallopian tube is healthy & functioning normally, then a woman should be able to get pregnant fairly easily.


What about recurrence of tubal regnancy after it occurred once?


The recurrent ectopic rate is about 10-12 %. The subsequent delivery rate after ectopic is 55%.After 2 or more ectopics and conservative surgery, subsequent delivery rate is about 25%.


If both tubes are removed, How do I get pregnant?


Invitro fertilisation is the way of getting a patient pregnant if she has had tubal pregnancy in past. Ovum and sperm are fused outside the body, embryo is formed and introduced directly into the uterine cavity and fallopian tubes here are not needed for conception. It has very low risk of ectopic.


For More data Contact Us:


Telephone: +91 8023151873 | +91 9900031842


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Email: altiushospital@yahoo.com | endoram2006@yahoo.in


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Gynecologist in Bangalore | IVF Treatment Center in Bangalore | Endometriosis Treatment in Bangalore | Scarless Surgery in Bangalore | Urogynaecology Treatments in Bangalore

Laparoscopic Gynaecologist in Bangalore

September 2, 2019 by AltiusHospital  

Gynecological laparoscopy is an alternative to open surgery. It uses a laparoscope to look inside your pelvic area. Open surgery often requires a large incision.


A laparoscope is a slender, lighted telescope. It allows a doctor to see inside your body. Diagnostic laparoscopy can determine whether you have conditions such as endometriosis or fibroids. It can also be a form of treatment. With miniaturized instruments, your doctor can perform a variety of surgeries. These include:

  1. ovarian cyst removal
  2. tubal ligation (surgical contraception)
  3. hysterectomy


Laparoscopy generally has a shorter healing time than open surgery. It also leaves smaller scars. A gynecologist may perform this procedure.


Reasons for gynecologic laparoscopy


Laparoscopy can be used for diagnosis, treatment, or both. A diagnostic procedure can sometimes turn into treatment.


Some reasons for diagnostic laparoscopy are:

  • unexplained pelvic pain
  • unexplained infertility
  • a history of pelvic infection


Conditions that might be diagnosed using laparoscopy include:

  • endometriosis
  • uterine fibroids
  • ovarian cysts or tumors
  • ectopic pregnancy
  • pelvic abscess, or pus
  • pelvic adhesions, or painful scar tissue
  • infertility
  • pelvic inflammatory disease
  • reproductive cancers


Some types of laparoscopic treatment include:




  • hysterectomy, or removal of the uterus
  • removal of the ovaries
  • removal of ovarian cysts
  • removal of fibroids
  • blocking blood flow to fibroids
  • endometrial tissue ablation, which is a treatment for endometriosis
  • adhesion removal
  • reversal of a contraceptive surgery called tubal ligation
  • Burch procedure for incontinence
  • vault suspension to treat a prolapsed uterus




Laparoscopy is almost always performed under general anesthesia. This means you will be unconscious for the procedure. However, you may still be able to go home the same day.


Once you are asleep, a small tube called a catheter will be inserted. This collects your urine. Then your abdomen will be filled with carbon dioxide gas. This is done with a small needle. The gas keeps the abdominal wall away from your organs. It reduces the risk of injury.


The surgeon will make a small cut in your navel. The laparoscope will be inserted. It transmits images to a screen. This gives your doctor a clear view of your organs.


What happens next depends on the type of procedure. For diagnosis, your doctor might take a look and then be done. If you need surgery, other incisions will be made. Instruments will be inserted through these holes. Then surgery is performed using the laparoscope as a guide.


Once the procedure is over, all instruments are removed. Incisions are closed with stitches. Then you will be bandaged and sent to recovery.


For More data Contact Us:


Telephone: +91 8023151873 | +91 9900031842


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Email: altiushospital@yahoo.com | endoram2006@yahoo.in


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Hysteroscopic Surgeries in Bangalore

August 29, 2019 by AltiusHospital  

If you’re having heavy menstrual periods and severe cramping, or your doctor needs to know more about your reproductive health, she may recommend you have a hysteroscopy. The procedure can give her an up-close look at your cervix and uterus and help her learn what’s causing problems.


What Is a Hysteroscopy?


Hysteroscopy is the inspection of the uterine cavity by endoscopy with access through the cervix. It allows for the diagnosis of intrauterine pathology and serves as a method for surgical intervention (operative hysteroscopy).






There are no symptoms or physical signs that are specific to adenomyosis. However, the cyclic bleeding of the ectopic endometrium resulting in irritation of surrounding tissue often leads to different nonspecific symptoms, including dysmenorrhea (starting at an early age around the time of menarche in the juvenile forms), abnormal uterine bleeding, chronic pelvic pain, and deep dyspareunia [Altius]. Dysmenorrhea tends to progressively increase and is resistant to therapy with analgesics or cyclic oral contraceptives.


The causative relationship between adenomyosis and subfertility has not been fully confirmed, and the incidence of subfertility in women with adenomyosis has not been defined [Altius].




Considering the poor specificity of preoperative clinical-based diagnosis, adenomyosis is often an incidental finding in specimens obtained from hysterectomy or uterine biopsies and/or percutaneous ultrasound-based biopsies. The recent evolution of diagnostic imaging techniques, such as transvaginal sonography (TVS), magnetic resonance imaging (MRI), and hysterosalpingography (HSG), has contributed to improving accuracy in the identification of this pathology, with an increasing number of cases described in adolescents and young adult women with untreatable dysmenorrhea [Altius].


Hysteroscopy is visualization from inside of the uterus with a camera without introducing a scar on the Abdomen




All the following hysteroscopic surgeries are performed at our center -

  •  Diagnostic hysteroscopy
  •  Hysteroscopic polypectomy (polyp removal)
  •  Hysteroscopic Myomectomy (submucous myomas) (fibroid inside the cavity of uterus)
  •  Hysteroscopic endometrial ablation (for Abnormal uterine bleeding/ heavy menstrual bleeding)
  •  Hysteroscopic metroplasty (congenital uterine anomaly-septum) (septum resection)
  •  Hysteroscopic cannulation for proximal tubal block
  •  Hysteroscopic removal of misplaced cu - T(iucd)
  •  Hysteroscopic sterilisation (family planning)


For More data Contact Us:


Telephone: +91 8023151873 | +91 9900031842


Fax: +91 8023116750


Email: altiushospital@yahoo.com | endoram2006@yahoo.in


Follow the links:


Gynecologist in Bangalore | IVF Treatment Center in Bangalore | Endometriosis Treatment in Bangalore | Scarless Surgery in Bangalore | Laparoscopic Treatment in Bangalore